China News Service, Beijing, March 31 (Han Zaoyuan, Lou Xiao, Yuan Shunzong) Nana (a pseudonym), a girl from a rural area in Hebei, was diagnosed with severe aplastic anemia due to long-term anemia and bleeding from the skin and gums. She received continuous blood transfusion to maintain her life.
In order to cure the disease, she was transferred from the local hospital to the Department of Hematology, the Fifth Medical Center of the People's Liberation Army General Hospital for allogeneic hematopoietic stem cell transplantation. The pretreatment process went smoothly and smoothly.
No one expected that after Nana bone marrow transplantation, hyperacute intestinal graft versus host disease occurred, and after emergency control by medical staff, acute left heart failure, acute renal failure, and respiratory failure occurred. The clinical diagnosis was clinically diagnosed as transplant-related thrombosis after relevant examinations. Microangiopathy.
This is a serious and highly fatal transplant-related complication. According to reports in the literature, the mortality rate after treatment is 70% to 90%.
Old lady Xing took a group photo with medical staff after recovery.
Photo by Liu Xia
After a series of active treatments, Nana's symptoms once alleviated, but a month later, her condition worsened again. She was in a trance, decreased numeracy, and was unable to speak and answer correctly. She fell into a coma.
In the continuous comprehensive rescue, Nana suffered from bacteremia, viral cystitis, pulmonary aspergillosis, and cytomegalovirus pneumonia. Her condition was extremely dangerous and her life was at stake.
In order to treat Nana, the Department of Hematology of the Fifth Medical Center used the advantages of the Faculty to organize multidisciplinary expert consultations to formulate diagnosis and treatment plans.
After more than 60 days and nights of meticulous treatment and care, Nana's complications and chronic rejection have never recurred.
One and a half years after the transplant, she fully recovered and returned to normal life and work.
Coincidentally, the patient, Mrs. Xing, is also one of the beneficiaries after the discipline adjustment of the Department of Hematology Medicine.
Last summer, she was admitted to the Department of Hematology, First Medical Center, PLA General Hospital for multiple myeloma. Hematology expert Professor Huang Wenrong gave her a course of anti-tumor treatment and symptomatic treatment, and her condition was under control.
Anti-tumor treatment is a long-term process. When Mrs. Xing was about to be hospitalized again for chemotherapy, she could not be admitted to the hospital due to the compression of the hematology bed and limited admission capacity.
Seeing that the disease was at risk of recurring and worsening again, the family members found Huang Wenrong again.
At this time, Huang Wenrong had changed his post to take up the post of director of the Department of Lymphoma and Plasma Cell Diseases in the Southern District of the Fifth Medical Center, where the headquarters of the Department of Hematology Medicine of the General Hospital of the People's Liberation Army is located.
After learning about Mrs. Xing's situation, Huang Wenrong immediately coordinated with the Lymphoma-Plasma Cell Disease Department of the Fifth Medical Center to complete the nucleic acid test on the same day, and helped Mrs. Xing complete the hospitalization as soon as possible.
"I stepped on the ground, and the soles of my feet feel real." Five days after chemotherapy, the old lady was pleased to find that her lower limbs had sensation.
After another three days, the old lady was able to walk slowly with a cane.
"After the reform and reorganization of the Ministry of Medicine, medical resources have been efficiently used, and patients have been treated in a timely and precise manner," said Liu Daihong, director of the medical department.
After the reorganization of advantages, the Department of Hematology, with the South Campus of the Fifth Medical Center as its headquarters, brings together well-known blood disease treatment experts at home and abroad, and has a large number of skilled and high-quality clinical technicians and scientific researchers. It is a collection of medical and scientific research. , Teaching is a professional institution for the treatment of blood diseases.
In order to facilitate patients' visits, the medical department arranged rounds of hematology specialists in various centers. Patients can find suitable experts no matter which center they see in the outpatient clinic. At the same time, the source of the disease is evenly triaged. The convenience measures for issuing hospital orders across hospitals have been implemented to solve the problem. Patients cannot be registered in the outpatient clinic, cannot be admitted to the hospital, and it is difficult to see a doctor.
Once a week, the department organizes large-scale handover classes and medical cloud rounds, difficult case discussions, and collective consultations with department experts, which truly realizes the medical integration and improvement of the Department of Medicine.
The Department of Medicine has been integrated, remodeled, and operated efficiently, opening up a new world for the development of the Department of Hematology in the PLA General Hospital.
In the next step, the Ministry of Medicine will continue to improve its capacity for diagnosis and treatment of various blood system diseases to benefit more patients with blood diseases.
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